鼻内镜手术后鼻窦冲洗对变应性真菌性鼻窦炎症状的改善及预后影响  

Effect of endoscopic surgery combined with postoperative nasal irrigation on symptoms improvement and prognosis in patients with allergic fungal sinusitis

作　　者：朱丽明[1] 那学武[1] 李海洲[1] 孙建华[1] 

机构地区：[1]锦州市中心医院耳鼻喉科,辽宁锦州121001

出　　处：《局解手术学杂志》2016年第9期691-693,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨鼻内镜下手术结合术后鼻窦冲洗治疗变应性真菌性鼻窦炎(AFS)对其症状改善及预后的影响。方法回顾性分析2010年1月至2014年1月本院诊治的145例变应性真菌性鼻窦炎患者的临床资料,按照不同治疗方法分为2组,对照组65例患者采用鼻内镜下手术治疗,观察组80例患者采用鼻内镜下手术结合术后鼻窦冲洗治疗,对比2组患者的临床治疗情况。结果 2组患者术后息肉、水肿、鼻漏等症状积分较术前均降低,且观察组降低幅度更显著,差异具有统计学意义(P<0.05,P<0.01);2组患者术后12个月鼻腔纤毛传输速度均较术后6个月和9个月提高,且观察组提高幅度更显著,差异具有统计学意义(P<0.05);2组术后SNOT-20评分指标(生理问题、功能限制及情感结果)均低于治疗前,观察组降低幅度显著大于对照组,差异具有统计学意义(P<0.05,P<0.01)。结论鼻内镜下手术结合术后鼻窦冲洗治疗变应性真菌性鼻窦炎可有效缓解患者症状,改善其预后。Objective To explore the effect of endoscopic sinus surgery combined with postoperative nasal irrigation on the symptoms improvement and prognosis for patients with allergic fungal sinusitis.Methods The clinical data of 145 patients with allergic fungal sinusitis who had received treatment in our hospital from January 2010 and January 2014 were reviewed.According to different treatment methods,they were divided into two groups,65 cases in the control group was treated with conventional surgical treatment,80 cases in the obeservation group was treated with endoscopic sinus surgery combined with postoperative treatment.The therapeutic conditions of two groups were compared. Results The symptom scores of patients with polyps,edema,rhinorrhea in two groups were decreased compared with those before treatment, and the obeservation group decreased more significantly （P 〈0.05,P 〈0.01）.After the operation,patients with nasal mucociliary transport rate of two groups were higher compared with postoperative 6 months and 9 months,and the obeservation group improved more significantly （P 〈0.05）.In addition,two groups of postoperative SNOT-20 scores （physiological problems,limitations and affective outcomes）treatment were lower than those before,and the obeservation group decreased significantly than that of the control group （P 〈0.05,P 〈0.01）.Con-clusion Endoscopic sinus surgery combined with postoperative nasal irrigation can effectively alleviate the symptoms and improve the prog-nosis in the treatment of allergic fungal sinusitis.

关 键 词：鼻内镜 手术 鼻窦冲洗 症状 预后 变应性真菌性鼻窦炎 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]